2024
Optimizing Total Hip and Knee Arthroplasty Among an Underserved Population: Lessons Learned From a Quality-Improvement Initiative
El-Othmani M, McCormick K, Xu W, Hickernell T, Sarpong N, Tyler W, Herndon C. Optimizing Total Hip and Knee Arthroplasty Among an Underserved Population: Lessons Learned From a Quality-Improvement Initiative. Arthroplasty Today 2024, 28: 101443. PMID: 38983938, PMCID: PMC11231561, DOI: 10.1016/j.artd.2024.101443.Peer-Reviewed Original ResearchTotal joint arthroplastyAmerican Society of Anesthesiologists scoreUnderserved populationsPreoperative optimization protocolElective total joint arthroplastyQuality improvement initiativesQuality-improvement initiativesContemporary control cohortPostoperative complicationsReoperation ratePostoperative outcomesAnesthesiologists scorePatient demographicsClinical group patientsRetrospective analysisGroup patientsMedical comorbiditiesControl cohortHealth equityOffice patientsPatient populationMedicaid clinicComplicationsQuality-improvementImprovement initiativesACE Inhibitor Use Does Not Significantly Affect Occurrence of Manipulation Under Anesthesia Following Total Knee Arthroplasty
Frederick J, Gazgalis A, Peterson J, Hickernell T, Cooper H, Shah R, Geller J, Neuwirth A. ACE Inhibitor Use Does Not Significantly Affect Occurrence of Manipulation Under Anesthesia Following Total Knee Arthroplasty. Journal Of Orthopaedic Experience & Innovation 2024, 5 DOI: 10.60118/001c.89993.Peer-Reviewed Original ResearchAngiotensin-converting enzyme inhibitorsAngiotensin converting enzyme inhibitor medicationRange of motionPost-operative stiffnessTotal knee arthroplastyAmerican Society of Anesthesiologists classACE inhibitor useConverting enzyme inhibitorsStudent's t-testAttenuated fibroblast proliferationKnee arthroplastyChi-square testScar tissue formationInhibitor useNo significant differenceCohort patientsChart reviewControl patientsPost-operativelyFollow-upControl cohortCommon medicationsOdds ratioPatientsEnzyme inhibitorsUse of The Risk Assessment and Prediction Tool to Predict Same-day Discharge After Primary Hip and Knee Arthroplasty
Dupont M, Held M, Shah R, Cooper H, Neuwirth A, Hickernell T. Use of The Risk Assessment and Prediction Tool to Predict Same-day Discharge After Primary Hip and Knee Arthroplasty. JAAOS Global Research And Reviews 2024, 8: e22.00269. PMID: 38456719, PMCID: PMC10923310, DOI: 10.5435/jaaosglobal-d-22-00269.Peer-Reviewed Original ResearchConceptsSame-day dischargeTotal knee arthroplastyTotal hip arthroplastyTertiary care centerPreoperative screening toolReceiver operating characteristic curveRAPT scoreScreening toolLogistic regression analysisAssociated with same-day dischargeKnee arthroplastyCutoff valuePreoperative notesPredictive valueCare centerPatientsCharacteristic curveSame-dayDischarge dispositionDischarge planningRegression analysisArthroplastyPositive associationScoresCutoffA Rare Complication of Intraprosthetic Dissociation of Cemented Bipolar Hemiarthroplasty during Closed Hip Reduction: Case Report and Literature Review
Mitchell A, Belkin N, Sarpong N, Herndon C, Hickernell T. A Rare Complication of Intraprosthetic Dissociation of Cemented Bipolar Hemiarthroplasty during Closed Hip Reduction: Case Report and Literature Review. The Journal Of Hip Surgery 2024 DOI: 10.1055/s-0043-1777061.Peer-Reviewed Original ResearchHip hemiarthroplastyBipolar HAElderly male patientsFemoral neck fracturesClosed hip reductionLow-demand patientsRare complicationSurgical complicationsPredominant etiologyMale patientsCase reportClosed reductionNeck fracturesIncreased riskBipolar hemiarthroplastyHip reductionComplicationsReduction attemptsRare phenomenonDemand patientsRevision of componentsHip dislocationImplant componentsPatientsHA implants
2023
Patient-reported outcomes measurement information system instruments in knee arthroplasty patients: a systematic review of the literature
Czerwonka N, Gupta P, Desai S, Hickernell T, Neuwirth A, Trofa D. Patient-reported outcomes measurement information system instruments in knee arthroplasty patients: a systematic review of the literature. Knee Surgery & Related Research 2023, 35: 27. PMID: 38041197, PMCID: PMC10690965, DOI: 10.1186/s43019-023-00201-6.Peer-Reviewed Original ResearchTotal knee arthroplasty patientsKnee arthroplasty patientsGlobal physical healthPatient-reported outcome measurementsArthroplasty patientsPain interferencePhysical functionSystematic reviewPROMIS domainsOutcome measurementsPatient-reported outcome measurement instrumentsGlobal mental healthOutcomes Measurement Information System (PROMIS) instrumentsPROMIS Global Physical HealthCeiling effectsPhysical healthAchievement of MCIDPROMIS Pain InterferencePercentage of patientsMeta-Analyses (PRISMA) guidelinesOutcome measurement instrumentsPubMed/MEDLINEPreferred Reporting ItemsPROMIS outcomesFirst systematic reviewTotal Joint Arthroplasty Time-of-Day Start Time Has Minimal Effect on Intraoperative Efficiency
Hammoor B, Kaidi A, Hickernell T, Cooper H. Total Joint Arthroplasty Time-of-Day Start Time Has Minimal Effect on Intraoperative Efficiency. Journal Of Orthopaedic Experience & Innovation 2023, 4 DOI: 10.60118/001c.72786.Peer-Reviewed Original ResearchSurgical start timeTotal hip arthroplastyTotal joint arthroplastyOperative durationPatient demographicsMultivariate linear regressionOperative lengthIntraoperative efficiencySingle academic medical centerPrimary TJA patientsCommon elective proceduresAcademic medical centerChi-squared testTJA patientsLater operationOperative dayRetrospective studyTotal hipElective proceduresTotal kneeJoint arthroplastyInclusion criteriaHip arthroplastyMedical CenterFirst-start casesThe Bikini Approach is Safe and Effective for Direct Anterior Approach THA
Weiner T, Neuwirth A, Geller J, Shah R, Hickernell T, Cooper H. The Bikini Approach is Safe and Effective for Direct Anterior Approach THA. The Journal Of Hip Surgery 2023, 07: 081-085. DOI: 10.1055/s-0043-1769085.Peer-Reviewed Original ResearchSurgical site complicationsDirect anterior approachBikini incisionMechanical complicationsNonobese patientsObese patientsLongitudinal incisionIncision orientationRate of reoperationTensor fasciae lataeChi-square testDAA-THAChart reviewAnterior approachSingle surgeonSite complicationsEntire cohortPrimary THAHip arthroplastyStudy groupComplicationsPatientsFasciae lataeReoperationIncisionIs There an Implicit Racial Bias in the Case Order of Elective Total Joint Arthroplasty?
Kaidi A, Hammoor B, Tyler W, Geller J, Cooper H, Hickernell T. Is There an Implicit Racial Bias in the Case Order of Elective Total Joint Arthroplasty? Journal Of Racial And Ethnic Health Disparities 2023, 11: 1-6. PMID: 37095288, DOI: 10.1007/s40615-022-01492-3.Peer-Reviewed Original ResearchConceptsSurgical start timeTotal joint arthroplastyTotal hip arthroplastyMultivariable logistic regressionOdds ratioJoint arthroplastyArthroplasty fellowship-trained surgeonsElective total joint arthroplastyNon-Hispanic black patientsElective total hip arthroplastyPrimary total joint arthroplastySurgical case orderLarge academic medical centerFellowship-trained surgeonsAcademic medical centerSelf-reported raceTKA patientsBlack patientsAdverse outcomesSurgical typePatient raceTotal kneeInclusion criteriaHip arthroplastyMedical Center
2022
Perioperative Intravenous Glucocorticoids in Total Joint Arthroplasty: A Systematic Review
Ruberto R, Farah O, Lopez C, Hickernell T. Perioperative Intravenous Glucocorticoids in Total Joint Arthroplasty: A Systematic Review. Journal Of The American Academy Of Orthopaedic Surgeons 2022, 31: e94-e106. PMID: 36580055, DOI: 10.5435/jaaos-d-22-00232.Peer-Reviewed Original ResearchConceptsTotal joint arthroplastyPostoperative surgical complicationsPostoperative painSystematic reviewPerioperative glucocorticoidsPerioperative steroidsPostoperative nauseaSurgical complicationsGlucocorticoid administrationJoint arthroplastyMultimodal pain controlPerioperative glucocorticoid administrationPerioperative steroid administrationPostoperative opioid utilizationRescue medication useAdditional randomized trialsCommon orthopaedic proceduresNotable adverse effectsRange of motionIntravenous glucocorticoidsHospital lengthOpioid utilizationPain controlPain scoresPostoperative length
2021
Machine Learning Model Developed to Aid in Patient Selection for Outpatient Total Joint Arthroplasty
Lopez C, Ding J, Trofa D, Cooper H, Geller J, Hickernell T. Machine Learning Model Developed to Aid in Patient Selection for Outpatient Total Joint Arthroplasty. Arthroplasty Today 2021, 13: 13-23. PMID: 34917716, PMCID: PMC8666332, DOI: 10.1016/j.artd.2021.11.001.Peer-Reviewed Original ResearchOutpatient total joint arthroplastyShorter LOSLength of stayTotal joint arthroplastySame-day dischargeTotal knee arthroplastyPatient selectionJoint arthroplastySurgeons National Surgical Quality Improvement ProgramNational Surgical Quality Improvement ProgramElective total knee arthroplastySurgical Quality Improvement ProgramTotal hip arthroplasty casesPreoperative patient selectionHip arthroplasty casesBroader patient populationLogistic regression analysisQuality Improvement ProgramElectronic medical recordsMedical comorbiditiesSurgical candidatesTKA casesKnee arthroplastyPatient populationTHA casesIntraoperative Scrub Nurse Handoffs Are Associated With Increased Operative Times for Total Joint Arthroplasty Patients
Kaidi A, Hammoor B, Tatka J, Neuwirth A, Levine W, Hickernell T. Intraoperative Scrub Nurse Handoffs Are Associated With Increased Operative Times for Total Joint Arthroplasty Patients. Arthroplasty Today 2021, 10: 35-40. PMID: 34286054, PMCID: PMC8274244, DOI: 10.1016/j.artd.2021.05.009.Peer-Reviewed Original ResearchTotal knee arthroplastyTotal joint arthroplastyLonger operative timeOperative timeMultivariable linear regressionNurse handoffsTHA patientsIntraoperative handoffsTotal joint arthroplasty patientsPrimary total hipJoint arthroplasty patientsRetrospective chart reviewNurse staffing modelsLong caseTJA patientsChart reviewArthroplasty patientsTotal hipKnee arthroplastyMultiple confoundersJoint arthroplastySurgeon characteristicsSurgical casesPatientsPatient informationIntraoperative Scrub Nurse Handoffs Are Associated with Increased Operative Times for Lower Extremity Orthopaedic Sports Procedures
Hammoor B, Kaidi A, Crutchfield C, Ferrer X, Hickernell T, Ahmad C, Levine W, Lynch T. Intraoperative Scrub Nurse Handoffs Are Associated with Increased Operative Times for Lower Extremity Orthopaedic Sports Procedures. Arthroscopy Sports Medicine And Rehabilitation 2021, 3: e1105-e1112. PMID: 34430890, PMCID: PMC8365200, DOI: 10.1016/j.asmr.2021.03.016.Peer-Reviewed Original ResearchOperative timeACL reconstructionHip arthroscopyMultivariable linear regressionNurse handoffsPatient characteristicsSports medicine fellowship-trained surgeonsAnterior cruciate ligament reconstructionUrban academic medical centerIncreased operative timeProcedure-specific informationRetrospective cohort studyCruciate ligament reconstructionRetrospective chart reviewFemoroacetabular impingement syndromeFellowship-trained surgeonsAcademic medical centerChart reviewCohort studyPatient demographicsLigament reconstructionSingle surgeonImpingement syndromeSurgical timeMedical CenterState Medical Cannabis Laws Associated With Reduction in Opioid Prescriptions by Orthopaedic Surgeons in Medicare Part D Cohort.
Lopez C, Boddapati V, Jobin C, Hickernell T. State Medical Cannabis Laws Associated With Reduction in Opioid Prescriptions by Orthopaedic Surgeons in Medicare Part D Cohort. Journal Of The American Academy Of Orthopaedic Surgeons 2021, 29: e188-e197. PMID: 32404683, DOI: 10.5435/jaaos-d-19-00767.Peer-Reviewed Original ResearchConceptsMedical cannabis lawsMedicare Part D patientsState medical cannabis lawsTotal daily dosesDaily dosesOpioid medicationsOpioid prescriptionsOrthopaedic surgeonsOpioid prescribingD patientsSignificant reductionPopulation-based ecological studyTotal opioid prescriptionsCannabis lawsAnalgesic optionsAnalgesic alternativeOpioid useHigh prescribersOrthopedic patientsPatient cohortD cohortSignificant associationPatient accessMedicationsOpioids
2020
What Is the Learning Curve for New Technologies in Total Joint Arthroplasty? A Review
Sarpong N, Herndon C, Held M, Neuwirth A, Hickernell T, Geller J, Cooper H, Shah R. What Is the Learning Curve for New Technologies in Total Joint Arthroplasty? A Review. Current Reviews In Musculoskeletal Medicine 2020, 13: 675-679. PMID: 32827304, PMCID: PMC7661627, DOI: 10.1007/s12178-020-09671-7.Peer-Reviewed Original ResearchOpioid Prescription Consumption Patterns After Total Joint Arthroplasty in Chronic Opioid Users Versus Opioid Naive Patients
Kaidi A, Lakra A, Jennings E, Neuwirth A, Geller J, Shah R, Cooper H, Hickernell T. Opioid Prescription Consumption Patterns After Total Joint Arthroplasty in Chronic Opioid Users Versus Opioid Naive Patients. JAAOS Global Research And Reviews 2020, 4: e20.00066. PMID: 32656479, PMCID: PMC7322780, DOI: 10.5435/jaaosglobal-d-20-00066.Peer-Reviewed Original ResearchConceptsChronic opioid usersOpioid-naive patientsMorphine equivalent dosesOpioid prescriptionsOpioid useChronic usersOpioid usersOrthopaedic departmentChronic preoperative opioid useTotal joint arthroplasty outcomesEquivalent dosesElective total hipJoint arthroplasty outcomesMore opioid prescriptionsPreoperative opioid useTotal joint arthroplastyUrban medical centerCurrent opioid epidemicNaive patientsOpioid prescribingPostoperative periodPrescribing patternsPostoperative intervalsTotal hipArthroplasty outcomesDeeper Central Reaming May Enhance Initial Acetabular Shell Fixation
Hickernell T, Kaidi A, Davignon R, Geller J, Cooper H, Shah R. Deeper Central Reaming May Enhance Initial Acetabular Shell Fixation. Arthroplasty Today 2020, 6: 343-349. PMID: 32548228, PMCID: PMC7286971, DOI: 10.1016/j.artd.2020.03.012.Peer-Reviewed Original Research
2019
Consensus on Reducing Risk in Total Joint Arthroplasty: Revision Surgery
Hickernell T, Cooper H. Consensus on Reducing Risk in Total Joint Arthroplasty: Revision Surgery. Techniques In Orthopaedics 2019, 34: 216-221. DOI: 10.1097/bto.0000000000000395.Peer-Reviewed Original ResearchSurgical site infectionSurgical complicationsSite infectionRevision surgeryRevision hipHigh-volume medical centerNegative wound pressure therapyFrequent surgical complicationsRevision arthroplasty patientsTotal joint arthroplastyRenal complicationsUnplanned readmissionWound complicationsArthroplasty patientsPreoperative settingPressure therapyTranexamic acidPrimary arthroplastyCell salvageJoint arthroplastyRevision arthroplastyMedical CenterComplicationsArthroplastyPatients
2018
Should Cannabinoids Be Added to Multimodal Pain Regimens After Total Hip and Knee Arthroplasty?
Hickernell T, Lakra A, Berg A, Cooper H, Geller J, Shah R. Should Cannabinoids Be Added to Multimodal Pain Regimens After Total Hip and Knee Arthroplasty? The Journal Of Arthroplasty 2018, 33: 3637-3641. PMID: 30170713, DOI: 10.1016/j.arth.2018.07.027.Peer-Reviewed Original ResearchMeSH KeywordsAgedAged, 80 and overAnalgesics, OpioidArthroplasty, Replacement, HipArthroplasty, Replacement, KneeCannabinoid Receptor AgonistsCannabinoidsClinical ProtocolsCohort StudiesDronabinolFemaleHumansLength of StayMaleMiddle AgedMorphinePain ManagementPain MeasurementPain, PostoperativePatient SatisfactionPhysical Therapy ModalitiesRetrospective StudiesConceptsLength of stayNausea/vomitingMorphine equivalentsTotal joint arthroplastyDronabinol groupTJA patientsPhysical therapyVisual analog scale pain scoreVisual analog scale scoreMultimodal pain regimenOpioid morphine equivalentsPost-arthroplasty patientsPrimary TJA patientsTotal morphine equivalentsScale pain scoresAnalog scale scoreBody mass indexEffects of dronabinolMann-Whitney U testT-testStudent's t-testAnesthesiologists (ASA) scoreMultimodal painPain regimenPain scoresRisk factors for conversion surgery to total hip arthroplasty of a hemiarthroplasty performed for a femoral neck fracture
Grosso M, Danoff J, Thacher R, Murtaugh T, Hickernell T, Shah R, Macaulay W. Risk factors for conversion surgery to total hip arthroplasty of a hemiarthroplasty performed for a femoral neck fracture. Hip International 2018, 28: 168-172. PMID: 29890908, DOI: 10.1177/1120700018768654.Peer-Reviewed Original ResearchConceptsFemoral neck fracturesLeg length discrepancyConversion surgeryAbsence of dementiaNeck fracturesRisk factorsIndex surgeryHip arthroplastyYounger ageHigher body mass indexContralateral femoral headConversion of hemiarthroplastyBody mass indexMultivariate logistic regressionCase-control studyTotal hip arthroplastyRisk of conversionFemoral head sizeHead sizeControl patientsPatient characteristicsMass indexLength discrepancyUnivariate analysisIntraoperative considerations
2017
Risk factors for conversion surgery to total hip arthroplasty of a hemiarthroplasty performed for a femoral neck fracture.
Grosso M, Danoff J, Thacher R, Murtaugh T, Hickernell T, Shah R, Macaulay W. Risk factors for conversion surgery to total hip arthroplasty of a hemiarthroplasty performed for a femoral neck fracture. Hip International 2017, 0. PMID: 29048693, DOI: 10.5301/hipint.5000547.Peer-Reviewed Original ResearchFemoral neck fracturesLeg length discrepancyConversion surgeryAbsence of dementiaNeck fracturesRisk factorsIndex surgeryHip arthroplastyYounger ageHigher body mass indexContralateral femoral headConversion of hemiarthroplastyBody mass indexMultivariate logistic regressionCase-control studyTotal hip arthroplastyRisk of conversionFemoral head sizeHead sizeControl patientsPatient characteristicsMass indexLength discrepancyUnivariate analysisIntraoperative considerations